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A nurse has just completed assessment charging on the electronic record for an assigned client. An assistive personnel who just measured the client’s vital signs asks to chart them while the nurse is still logged into the record. Which of the following actions should the nurse take?

Recommend the AP come back later when the record is available

Log out so the AP can log in to document the vital signs

Offer to chart the vital signs for the AP

Allow the AP to document the vital signs prior to logging out

Answer and Explanation

The Correct Answer is B

a. Recommend the AP come back later when the record is available:

This option delays the documentation process unnecessarily and may inconvenience the AP.

It doesn't address the issue of maintaining patient confidentiality and accurate documentation.

b. Log out so the AP can log in to document the vital signs:

This is the correct choice as it ensures that each individual's documentation is attributed to the correct user.

It maintains patient confidentiality and adheres to HIPAA regulations.

It allows the AP to complete their task efficiently while preserving the integrity of the electronic record.

c. Offer to chart the vital signs for the AP:

This option involves the nurse taking over the responsibility of documenting the vital signs for the AP, which could lead to confusion and potential errors.

It's not the most appropriate solution as it may not be feasible for the nurse to document the vital signs accurately without directly measuring them.

d. Allow the AP to document the vital signs prior to logging out:

Allowing the AP to document vital signs under the nurse's login compromises the integrity of the electronic record and violates HIPAA regulations.

It's not an acceptable practice as it can lead to inaccuracies in the documentation and compromises patient confidentiality.

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Correct Answer is D

Explanation

a. "I will ask your mother's primary care provider to speak with you."This response does not address the issue of confidentiality and consent. The nurse should not assume that the provider will discuss the treatment without the client's consent.

B.“You will have to speak directly to your mother about her treatment.”This response correctly redirects the child to the client but does not fully explain the importance of consent and confidentiality, which are crucial in maintaining professional and ethical standards.

C.“What would you like to know about your mother’s treatment.”This response might imply a willingness to share information without the client’s consent, which would be a violation of confidentiality and privacy laws.

D.“I cannot provide this information to you without your mother’s consent.”Correct. This response clearly states the need for the client’s consent before any information can be shared, adhering to the principles of confidentiality and the Health Insurance Portability and Accountability Act (HIPAA) regulations.

A. Document in the client’s chart that an incident report has been filed B. Call risk management to interview the client C. Contact the nurse manager D. Reassure the client that the staff is well trained

Correct Answer is C

Explanation

a. Document in the client’s chart that an incident report has been filed:

Documenting that an incident report has been filed is an important step in the process of addressing the client's complaint. It ensures that there is a record of the incident and initiates the appropriate follow-up procedures.

b. Call risk management to interview the client:

In long-term care facilities, risk management departments are responsible for investigating incidents and ensuring that appropriate measures are taken to prevent future occurrences. In this situation, involving risk management may be necessary to conduct a thorough investigation.

c. Contact the nurse manager:

The nurse manager is responsible for overseeing the nursing staff and ensuring that quality care is provided to clients. Contacting the nurse manager allows for immediate notification of the incident and enables them to initiate the appropriate steps to address the situation.

d. Reassure the client that the staff is well trained:

While it's important to provide reassurance to the client, simply reassuring them without taking any further action may not adequately address their concerns or prevent similar incidents from occurring in the future.

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A nurse has just completed assessment charging on the electronic record for an assigned client. An assistive personnel who just measured the client’s vital signs asks to chart them while the nurse is still logged into the record. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cancer the client’s adult child asks the nurse for information about the client’s treatment plan. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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